Knee muscle moment arms from MRI and from tendon travel

Spoor, C. W.; van Leeuwen, J. L.

Affiliations

¹Biomaterials Research Group, School of Medicine, Leiden University, Building 55, Rijnsburgerweg 10, NL-2333 AA Leiden, The Netherlands

²Neuroregulation Group, Department of Physiology, Leiden University, P. 0. Box 9604, NL-2300 RC Leiden, The Netherlands

Abstract

We tested magnetic resonance imaging (MRI) as a means to collect geometric data for moment arm estimation. A knee specimen in five successive flexion postures was scanned by MRI, while simultaneously tendon positions of loaded muscles were measured (long head of biceps femoris, lateral and medial gastrocnemius, gracilis, rectus femoris, sartorius, semimembranosus, semitendinosus, and tensor fasciae latae). Discrete rotation centres were derived from MRI pictures. Moment arms were estimated as the distances from these centres to the tendons. The ratio of tendon travel over the increment of joint angulation was the alternative, more reliable estimate of the moment arm.

An important principal shortcoming of MRI is the impossibility of accounting for force distribution in taut tissue. As a consequence, for some muscles, considerable inaccuracies in moment arm estimation are found in a relatively small range of joint angulation (up to about 30% for the rectus femoris and semimembranosus).

For the tensor fasciae latae, the moment arm cannot be estimated by MRI, while the estimate by tendon travel is unreliable owing to the deformability and attachments of the fascia lata.

Links

DOI: 10.1016/0021-9290(92)90276-7

PubMed: 1733995

WoS: A1992GY66200008

History

Revised: 1991-08-7

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2013	Gerus P, Sartori M, Besier TF, Fregly BJ, Delp SL, Banks SA, Pandy MG, D'Lima DD, Lloyd DG. Subject-specific knee joint geometry improves predictions of medial tibiofemoral contact forces. J Biomech. November 15, 2013;46(16):2778-2786.
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